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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
July 01, 2023 - Conducting change-of-shift report at the bedside so patients and families can participate. … Report to the appropriate parties.
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www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
January 01, 2024 - Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation … qualitative research, probabilistic risk assessment, embodied
conversational agents
Page 2 of 19
Progress … Report
Table Of Contents
1. … We envision using such agents in
bedside hospital kiosks for patient education prior to discharge. … Perspectives of Patient
Safety: Five years After the IOM Report.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - Detailed review of a few text reports to formulate meaning.
3. … Review of additional reports to develop preliminary categories.
4. … enabled care conferences 1
Rounds: Structured, scheduled,
interdisciplinary rounds at the patient’s
bedside … suggested Type Examples of interventions
Auto-faxing
medical
information
“When we sign off, the report … In addition,
when rounds take place at the patient’s bedside, senior clinicians could easily verify
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www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
January 01, 2024 - Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care … AHRQ Grant Final Progress Report
Mazor, Kathleen M
Grant Award Number: 5 R18 HS022757
Project Title … The ITS did not detect any positive impact of the program.
11
AHRQ Grant Final Progress Report
Mazor … We also examined the extent to
16
AHRQ Grant Final Progress Report
Mazor, Kathleen M
Grant … PMID: 17678514.
19
AHRQ Grant Final Progress Report
Mazor, Kathleen M
Grant Award Number: 5 R18
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
August 01, 2018 - Nurse OR gave report to Nurse ICU.
08/03/12 – Ms. C is stable. … C’s son was at the bedside during visiting hours, he stated he was angry and concerned that his mother … Root Cause Analysis, hospital reporting system
Quality and safety measures:
Monthly data reports … Slide 60
Image: Sample Post Fall Huddle report. … Slide 61
Image: Sample Post Fall Huddle report continued.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring_facguide.docx
May 01, 2017 - Slide 11
SAY:
Clinician pocket cards and bedside reference aids that define and describe the 2008 … policy for certain EFM findings if the maternity care provider is not immediately available at the bedside
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
July 01, 2023 - Slide 12: Key Safety Elements: Create Independent Checks
Say:
Clinician pocket cards and bedside … policy for certain EFM findings if the maternity care provider is not immediately available at the bedside
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ch-hospital-webcast-122223-toomey.pdf
December 01, 2022 - Pediatric Quality
Measurement at Boston Children’s Hospital as part of the PQMP
• Parent/guardian reports … communicate with your child
70%
Attention to Safety and Comfort:
Preventing mistakes & helping you report … nurse-child
communication scores above 75th
percentile
Intervention:
• Communication bundle
► Bedside … nurse shift reporting, whiteboards,
scripting
Outcome Measures:
• Child HCAHPS scores for two
communication
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
July 01, 2023 - Clinician pocket cards and bedside reference aids that describe the 2008 NICHD nomenclature and three-tier … This may include bedside review by nursing team of patient’s recent EFM strip, interpretation, and any … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-121013.pptx
January 01, 2006 - years ago, a series of studies about the education of health professionals, led by the 1910 Flexner report … Bedside Calculations as “Shame and Blame”
“My name is Greg.”
10
Plasticity vs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/engagement.pptx
May 01, 2017 - and family members to partner with their health care team throughout their stay
Conducting change-of-shift … report at the bedside so patients and families can participate
Involving patients and families in discharge … for Perinatal Care
Patient & Family
Immediate Response to an Adverse Event4
Care for the patient
Report
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - Bedside staff,
providers, and lab personnel should
agree on one unit for reporting and
communicating … This may include
bedside review by nursing team of
pump settings, mainline intravenous
fluids, and … and families
regarding the frequency of nursing
assessment and monitoring, signs
and symptoms to report
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www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
January 01, 2025 - Final Progress Report: Incident Reporting Practices in Nursing Homes
FINAL PROGRESS REPORT
Incident … Data from this reporting system has led to significant improvements in airline
safety.16 A shift in … Use of Incident Reports for Quality Improvement: Incident reports document
clinical errors and other … As noted in the AHRQ evidence reports,
incident reports also can target “no-harm” events and “near misses … Implementation of rules based
computerised bedside prescribing and administration: Intervention study
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www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
December 01, 2012 - Shift changes.
Resource barriers include:
Lack of time.
Workload.
Processes. … Executives, physicians, nurse managers, infection preventionists, bedside clinicians, and unit support … Briefings are conducted:
At the beginning of the day shift. … During reporting-off breaks and shift changes. … And the second S stands for safety concerns—Provide critical lab values or reports, socioeconomic factors
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www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices.html
April 01, 2013 - And we all out there probably have gotten in our bedside kits, our carts and try to standardize the whole … So I’m happy to report at least on a statewide basis, in about a year we’ve been able to reduce our CLABSI … And one thing I would just report, too, we have one of our NICUs at East Tennessee Children’s Hospital-Knoxville … So, Mari, I think that’s pretty much what I wanted to report on. … all day or in there with that patient, so at the beginning it was a different, a difficult culture shift
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
November 01, 2014 - The cultural transformation initiative was launched to shift its culture to one where patient care became … An organizational culture shift had taken place. … Increase clinician time at the bedside. … Reducing staff movements or distance traveled to increase time at the bedside. … Additional beds were being added to the hospital, and there was a shift to individual rooms from a large
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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
February 01, 2017 - study on restricted activity among community-living older persons, and data were collected by self-report … end of the bed—meaning their legs dangled over the edge—11 percent involved patients standing at the bedside
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/intro-early-mobility-facguide.docx
January 01, 2017 - study on restricted activity among community-living older persons, and data were collected by self-report … end of the bed—meaning their legs dangled over the edge—11 percent involved patients standing at the bedside
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/tool_safe-e-fetal-monitoring.docx
May 01, 2017 - Clinician pocket cards and bedside reference aids that describe the 2008 NICHD nomenclature and three-tier … This may include bedside review by nursing team of patient’s recent EFM strip, interpretation, and any … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal … The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal
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www.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
July 01, 2023 - effective strategies for involving patients and family caregivers include:
Engaging the patient in bedside … Conducting handoffs at the patient’s bedside. … Selected Resources
The AHRQ-funded Guide to Patient and Family Engagement: Environmental Scan Report … should strive to create a learning culture of trust and transparency that creates a safe environment to report